Written Site-Specific Fall Protection Plan Template - Workers' Safety And Compensation Commission, Nanavut, Canada Page 2

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Prior to accessing the work location
Checklist
Comments
First aid attendant/facilities/equipment
Safety headgear available for all workers
Bin in place
Barricades in place
CSA safety footwear for ground work
Safety eyewear if nail guns in use
Site roof diagram
(include anchor locations)
page 2 of 4
WRITTEN SITE-SPECIFIC FALL PROTECTION PLAN – 09.2014

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